| NPI | 1932326089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL 21637) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC007654) |
| 106H00000X Marriage & Family Therapist (Licence: OR T0644) | |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2023-05-01 |