| NPI | 1982688180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC NC LMFT 516) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC NC LPC 3778) |
| Enumeration Date | 2005-12-01 |
| Last Update Date | 2012-06-04 |