| NPI | 1093768756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ID LCPC-17) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: ID LMFT 2637) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2023-05-01 |