| NPI | 1770738460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 8766) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NC 5090A) |
| Enumeration Date | 2008-11-21 |
| Last Update Date | 2011-06-21 |