| NPI | 1932655180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 1887) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC A12437) |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2017-08-26 |