| NPI | 1235303710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: LA 1434) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: LA 3008) |
| 106H00000X Marriage & Family Therapist (Licence: LA 885) | |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2020-01-08 |