| NPI | 1396808044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: LA 516) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: LA 2350) |
| Enumeration Date | 2006-12-17 |
| Last Update Date | 2009-06-07 |