| NPI | 1487170429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 7781) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: LA 1370) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2017-08-22 |
| Last Update Date | 2024-03-28 |