| NPI | 1992047906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: AL 121) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AL 2232) |
| Enumeration Date | 2013-03-18 |
| Last Update Date | 2013-03-18 |