| NPI | 1669763611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MN 2101) |
| Enumeration Date | 2011-04-26 |
| Last Update Date | 2021-08-06 |