| NPI | 1972828440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MO 3000052) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 001731) |
| Enumeration Date | 2010-03-28 |
| Last Update Date | 2010-03-28 |