| NPI | 1851383905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE LMHP 558) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NE LPC 66) |
| 106H00000X Marriage & Family Therapist (Licence: NE LMFT 67) | |
| Enumeration Date | 2005-08-16 |
| Last Update Date | 2017-02-09 |