| NPI | 1609314533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: LA 1358) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 106H00000X Marriage & Family Therapist (Licence: HI 502) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2017-02-12 |
| Last Update Date | 2019-04-01 |