| NPI | 1669752572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 4242) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: LA 1153) |
| Enumeration Date | 2011-08-23 |
| Last Update Date | 2021-11-11 |