| NPI | 1477961936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 3796) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: LA 1161) |
| Enumeration Date | 2014-07-29 |
| Last Update Date | 2020-08-14 |