| NPI | 1912236449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 2795) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: SC 3244) |
| Enumeration Date | 2009-12-11 |
| Last Update Date | 2009-12-11 |