| NPI | 1255581088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: LA 003382) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF55606) |
| Enumeration Date | 2008-09-29 |
| Last Update Date | 2019-12-09 |