| NPI | 1699931972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MS 0978) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MS 0978) |
| Enumeration Date | 2008-08-05 |
| Last Update Date | 2013-05-24 |