| NPI | 1235275728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: LA 2890) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: LA 891) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2010-11-10 |