| NPI | 1952761470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MT 19005) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MT 16378) |
| Enumeration Date | 2016-02-25 |
| Last Update Date | 2016-10-06 |