| NPI | 1164599676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: LA LPC 3281) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: LA MFT 1071) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2007-07-08 |