| NPI | 1811247588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VT 097.0134120) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 119461) |
| Enumeration Date | 2012-09-11 |
| Last Update Date | 2020-07-27 |