| NPI | 1013135946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: ID LMFT2977) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ID LCPC2976) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2020-06-08 |