| NPI | 1821653676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: LA MFT1403) |
| Enumeration Date | 2019-05-07 |
| Last Update Date | 2023-05-18 |