| NPI | 1780891077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: SC 4482) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: SC 4709) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2011-05-20 |