| NPI | 1700899234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 690) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: IN 20050059A) |
| 106H00000X Marriage & Family Therapist (Licence: LA MFT503) | |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2007-07-08 |