| NPI | 1649578006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: LA 2976) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: LA 895) |
| Enumeration Date | 2011-03-09 |
| Last Update Date | 2011-03-09 |