| NPI | 1710964267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP1600X Counselor, Pastoral (Licence: 1950) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NC 167) |
| Enumeration Date | 2005-12-27 |
| Last Update Date | 2007-07-08 |