| NPI | 1417206483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: ID LMFT 2629) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ID LPC-P 0080) |
| Enumeration Date | 2012-09-05 |
| Last Update Date | 2013-05-21 |