| NPI | 1043814163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 7170) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: LA 1294) |
| Enumeration Date | 2020-11-30 |
| Last Update Date | 2020-11-30 |