| NPI | 1275833725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 5610) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: LA 5610) |
| 101Y00000X Counselor (Licence: MS 1698) | |
| 106H00000X Marriage & Family Therapist (Licence: MS 1922) | |
| Enumeration Date | 2010-11-01 |
| Last Update Date | 2023-06-29 |