| NPI | 1417092214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0171001384) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 46463) |
| 106H00000X Marriage & Family Therapist (Licence: VA 0717001384) | |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2023-03-16 |