| NPI | 1457715971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 8092) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: LA MFT1394) |
| Enumeration Date | 2016-04-11 |
| Last Update Date | 2023-11-28 |