| NPI | 1598390643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ID LPC-7549) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: ID LAMFT-7634) |
| Enumeration Date | 2020-03-10 |
| Last Update Date | 2020-03-10 |