| NPI | 1881998169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WI 1139) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WI 1139) |
| Enumeration Date | 2010-12-31 |
| Last Update Date | 2023-11-09 |