| NPI | 1902022528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 10620) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401014812) |
| 101YP2500X Counselor, Professional (Licence: TX 17146) | |
| 101YP2500X Counselor, Professional (Licence: OR C1344) | |
| 106H00000X Marriage & Family Therapist (Licence: CA MFC 41748) | |
| 106H00000X Marriage & Family Therapist (Licence: MI 4101006642) | |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2018-08-13 |