| NPI | 1750619763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 3978) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 8970) |
| 106H00000X Marriage & Family Therapist (Licence: NE 140) | |
| Enumeration Date | 2009-12-02 |
| Last Update Date | 2011-10-20 |