| NPI | 1184916827 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 3585) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: LA 202466) |
| 106H00000X Marriage & Family Therapist (Licence: LA 1140) | |
| Enumeration Date | 2011-05-13 |
| Last Update Date | 2021-11-03 |