| NPI | 1720132533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MD LC1765) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: MD LC1765) |
| 106H00000X Marriage & Family Therapist (Licence: MD LC1765) | |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2022-04-08 |