| 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 |