| NPI | 1376931501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA LPC3219) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA MFT 1096) |
| 101YP2500X Counselor, Professional (Licence: LA MFT 1096) | |
| 101YS0200X Counselor, School (Licence: LA MFT 1096) | |
| 106H00000X Marriage & Family Therapist (Licence: LA MFT 1096) | |
| Enumeration Date | 2014-12-22 |
| Last Update Date | 2016-11-30 |