| NPI | 1598213118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: LA 6166) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: LA 6166) |
| 106H00000X Marriage & Family Therapist (Licence: LA 6166) | |
| Enumeration Date | 2016-09-12 |
| Last Update Date | 2016-09-12 |