| NPI | 1891827358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 1047) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NC 256) |
| Enumeration Date | 2007-03-11 |
| Last Update Date | 2007-07-08 |