| NPI | 1942484944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: ID LCPC-2770) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: ID LMFT-2771) |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2007-12-27 |