| NPI | 1083921258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: LA 2270) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: LA 374) |
| Enumeration Date | 2010-09-08 |
| Last Update Date | 2010-09-08 |