| 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 |