| NPI | 1801934823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: OR C1728) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: OR C1728) |
| 106H00000X Marriage & Family Therapist (Licence: CA MFC41240) | |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2008-05-07 |