| NPI | 1790271179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN 02010) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 48956) |
| 101YP2500X Counselor, Professional (Licence: ID 3623) | |
| Enumeration Date | 2018-07-09 |
| Last Update Date | 2018-07-09 |