| NPI | 1891093472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 8548) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 8548) |
| 106H00000X Marriage & Family Therapist (Licence: NC 1406) | |
| Enumeration Date | 2011-03-07 |
| Last Update Date | 2019-05-30 |