| NPI | 1790992071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MS 0188) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MS T0002) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2024-04-20 |