| NPI | 1770650251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 605) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NE 538) |
| 106H00000X Marriage & Family Therapist (Licence: NE 55) | |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2007-07-08 |