| NPI | 1679966600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NC 10051A) |
| Enumeration Date | 2015-03-16 |
| Last Update Date | 2015-03-16 |