| NPI | 1306961701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: LA 2687) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: LA 656) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2019-08-23 |