| NPI | 1083098057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 5026) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: LA 1182) |
| Enumeration Date | 2015-07-19 |
| Last Update Date | 2015-07-20 |