| NPI | 1194859686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: LA 678) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: LA 375) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2007-07-08 |