| NPI | 1669847331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 101Y00000X Counselor | |
| 101YM0800X Counselor Mental Health | |
| 101YA0400X Counselor Addiction (Substance Use Disorder) | |
| Enumeration Date | 2015-12-07 |
| Last Update Date | 2015-12-07 |