| NPI | 1174996284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 5683) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: LA 1221) |
| Enumeration Date | 2015-11-11 |
| Last Update Date | 2015-11-11 |