| NPI | 1700221546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 2984) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: LA 892) |
| 101Y00000X Counselor (Licence: LA 76280) | |
| Enumeration Date | 2013-05-07 |
| Last Update Date | 2020-06-09 |