| NPI | 1699130740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: LA CI #5134) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: LA CI #5134) |
| Enumeration Date | 2015-12-16 |
| Last Update Date | 2015-12-16 |