| NPI | 1750521589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CT 001488) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CT 000253) |
| 101YP1600X Counselor, Pastoral | |
| Enumeration Date | 2009-03-06 |
| Last Update Date | 2012-01-30 |