| NPI | 1730490947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MO 2012040742) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MO 2012041376) |
| Enumeration Date | 2010-06-23 |
| Last Update Date | 2013-03-15 |