| NPI | 1972615219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ID LCPC-204) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: ID LMFT-3003) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2016-01-27 |