| NPI | 1669673893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MD LCM121) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC1166) |
| Enumeration Date | 2007-05-28 |
| Last Update Date | 2008-11-11 |