| NPI | 1942494109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MT 2414) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MT 75) |
| 106H00000X Marriage & Family Therapist (Licence: CA 49898) | |
| Enumeration Date | 2007-08-30 |
| Last Update Date | 2013-02-19 |