| NPI | 1457663858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: LA 1001) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: LA 3140) |
| 163W00000X Registered Nurse (Licence: LA RN081340) | |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: LA 0278542-03) | |
| Enumeration Date | 2010-07-14 |
| Last Update Date | 2010-07-14 |