| NPI | 1912053786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CT 001536) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2019-11-12 |