| NPI | 1740746106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 1976) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC 1976) |
| 101Y00000X Counselor (Licence: AL L473) | |
| 101YM0800X Counselor, Mental Health (Licence: NC 1976) | |
| 101YM0800X Counselor, Mental Health (Licence: AL L473) | |
| Enumeration Date | 2019-02-11 |
| Last Update Date | 2019-02-11 |