| NPI | 1679020903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: LA LPC LA-2801) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: LA LMFT LA-879) |
| Enumeration Date | 2016-09-02 |
| Last Update Date | 2024-09-27 |