| NPI | 1023478195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: LA PLC 5945) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: LA PLM 1246) |
| Enumeration Date | 2016-03-02 |
| Last Update Date | 2020-12-07 |