| NPI | 1679908586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM 0212451) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 105656) |
| Enumeration Date | 2013-09-10 |
| Last Update Date | 2021-01-05 |