| NPI | 1710186978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ID LCPC 189) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: ID LCPC 189) |
| 101YM0800X Counselor, Mental Health (Licence: ID LCPC 189) | |
| 106H00000X Marriage & Family Therapist (Licence: ID LMFT 2751) | |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2007-07-17 |