| NPI | 1083913636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: LA LMFT#679) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: LA LPC-S#2686) |
| Enumeration Date | 2011-03-22 |
| Last Update Date | 2015-03-17 |