| NPI | 1336423946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: LA 2294) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: LA 2294) |
| 106H00000X Marriage & Family Therapist (Licence: LA 577) | |
| Enumeration Date | 2011-09-30 |
| Last Update Date | 2019-09-30 |