| NPI | 1548436843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: LA 3194) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: LA 1028) |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2011-10-16 |