| NPI | 1588769566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: LA LA LPC 1112) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: LA LMFT 464) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2007-07-08 |