| NPI | 1821468075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: LA 2728) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: LA 751) |
| Enumeration Date | 2015-09-30 |
| Last Update Date | 2015-09-30 |