| NPI | 1659655256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: LA 3229) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: LA 227518) |
| 101YM0800X Counselor Mental Health (Licence: LA 3229) | |
| 106H00000X Marriage & Family Therapist (Licence: LA 1082) | |
| Enumeration Date | 2011-10-01 |
| Last Update Date | 2016-12-01 |