| NPI | 1780925032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: LA 1120) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: LA 3385) |
| Enumeration Date | 2013-03-12 |
| Last Update Date | 2013-03-12 |