| NPI | 1801829056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MA 3403) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MA 968) |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2007-07-08 |