| NPI | 1336100932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 2394) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: LA 71) |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2022-05-12 |