| NPI | 1598729600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 1992) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: LA 210) |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2019-02-20 |