| NPI | 1679891626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ LPC 15896) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC 48930) |
| Enumeration Date | 2010-05-13 |
| Last Update Date | 2017-02-06 |