| NPI | 1306405071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: LA 1213) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: LA 5534) |
| Enumeration Date | 2019-06-06 |
| Last Update Date | 2024-04-11 |