| NPI | 1396942249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: AL LPC 1128) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: AL LMFT 65) |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2007-07-08 |