| NPI | 1710049325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NE 883) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 1095) |
| 106H00000X Marriage & Family Therapist (Licence: NE 029) | |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2014-12-03 |