| NPI | 1902029812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NH 100) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NH 760) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2012-06-01 |