| NPI | 1679591606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NC 4668) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 4668) |
| 101YP2500X Counselor, Professional (Licence: NC 4668) | |
| 1041C0700X Social Worker, Clinical (Licence: NC 4668) | |
| 106H00000X Marriage & Family Therapist (Licence: NC 4668) | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2023-12-18 |