| NPI | 1083638852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: LA 2296) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: 56700) |
| 106H00000X Marriage & Family Therapist (Licence: LA 0341) | |
| 101YP2500X Counselor, Professional (Licence: LA 2296) | |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2021-04-08 |