| NPI | 1548589906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: LA 1135) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: LA 3103) |
| Enumeration Date | 2010-05-25 |
| Last Update Date | 2013-01-08 |