| NPI | 1790185031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: ID LAMFT-5535) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: ID LPC-5578) |
| Enumeration Date | 2014-08-22 |
| Last Update Date | 2014-08-22 |