| NPI | 1912185489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MS 0388) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MS 0388) |
| 106H00000X Marriage & Family Therapist (Licence: MS 0388) | |
| Enumeration Date | 2008-02-06 |
| Last Update Date | 2008-02-06 |