| NPI | 1841535291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LICSW1016987) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 106H00000X Marriage & Family Therapist (Licence: 1016987) | |
| Enumeration Date | 2012-12-11 |
| Last Update Date | 2012-12-11 |