| NPI | 1891981320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: GA MFT001192) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA MFC40719) |
| 101YM0800X Counselor Mental Health | |
| 106H00000X Marriage & Family Therapist (Licence: GA MFT001192) | |
| 106H00000X Marriage & Family Therapist (Licence: AL L336) | |
| 106H00000X Marriage & Family Therapist (Licence: CA MFC40719) | |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2016-10-19 |