| NPI | 1700065216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: LA 740) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: LA 2839) |
| Enumeration Date | 2007-10-31 |
| Last Update Date | 2007-10-31 |