| NPI | 1952509721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NC C001916) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC C001916) |
| 1041C0700X Social Worker Clinical (Licence: NC C001916) | |
| 106H00000X Marriage & Family Therapist (Licence: NC C001916) | |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2013-03-08 |