| NPI | 1558385906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: LA LPC) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: LA LMFT) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2024-04-15 |