| NPI | 1790002699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: DC LMFT000109) |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral (Licence: NJ LCPC064-3684) |
| Enumeration Date | 2010-05-01 |
| Last Update Date | 2016-08-02 |