| NPI | 1205219755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA LPC 3249) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: LA LMFT 1122) |
| Enumeration Date | 2015-07-01 |
| Last Update Date | 2015-07-01 |