| NPI | 1093144164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: LA 2401) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: LA 2401) |
| 106H00000X Marriage & Family Therapist (Licence: LA MFT278) | |
| 101YM0800X Counselor, Mental Health (Licence: LA 2401) | |
| Enumeration Date | 2013-11-08 |
| Last Update Date | 2025-10-13 |