| NPI | 1912127440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 442) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NE 73) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2007-07-08 |