| NPI | 1841367059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 2760) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: LA MFT732) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2025-05-01 |