| NPI | 1326332867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 1077-124) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 80617) |
| Enumeration Date | 2011-06-01 |
| Last Update Date | 2022-06-23 |