| NPI | 1861718108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MS 2235) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MS 2235) |
| 106H00000X Marriage & Family Therapist (Licence: MS 2235) | |
| Enumeration Date | 2010-04-12 |
| Last Update Date | 2010-04-12 |