| NPI | 1669909446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 8847) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: LA MFT1449) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2024-05-08 |