| NPI | 1104145507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: LA 1129) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: LA 3986) |
| Enumeration Date | 2010-05-25 |
| Last Update Date | 2010-05-25 |