| NPI | 1306905609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: LA 111) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: LA 2289) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2022-08-24 |