| NPI | 1770878555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: LA 2497) |
| 106H00000X Marriage & Family Therapist (Licence: LA 231) | |
| Enumeration Date | 2011-06-09 |
| Last Update Date | 2021-06-04 |