| NPI | 1275651739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 2381) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: LA LMFT100) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2008-06-12 |