| NPI | 1295850972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: FL LMFT1430) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: FL LMHC2622) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2017-10-30 |