| NPI | 1033209341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: ID LMFT-1) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ID LCPC-238) |
| Enumeration Date | 2006-10-15 |
| Last Update Date | 2018-11-19 |