| NPI | 1265705875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: LA 2934) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: LA 956) |
| Enumeration Date | 2012-02-13 |
| Last Update Date | 2012-02-13 |