| NPI | 1740587542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: LA 1155) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: LA 3291) |
| Enumeration Date | 2011-02-15 |
| Last Update Date | 2014-07-17 |