| NPI | 1891756441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 1311) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MA 665) |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2008-12-24 |