| NPI | 1659552743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KS 775) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 66591) |
| 101YP2500X Counselor, Professional (Licence: NC 7494) | |
| 106H00000X Marriage & Family Therapist (Licence: NC 1242) | |
| Enumeration Date | 2007-11-17 |
| Last Update Date | 2011-10-11 |