| NPI | 1700261237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 11643) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NC 1861) |
| Enumeration Date | 2015-07-27 |
| Last Update Date | 2021-07-19 |