| NPI | 1780175695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ID LPC-7446) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: ID LAMFT-6920) |
| Enumeration Date | 2018-05-25 |
| Last Update Date | 2019-12-14 |