| NPI | 1851714158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 8093A) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC A9425) |
| Enumeration Date | 2014-01-23 |
| Last Update Date | 2014-01-23 |