| NPI | 1255460051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 2752) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: LA 721) |
| 106H00000X Marriage & Family Therapist (Licence: LA 863) | |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2022-02-18 |