| NPI | 1447385760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: LA 3233) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: LA 1066) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2007-07-08 |