| NPI | 1841540515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: LA 2797) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: LA 884) |
| Enumeration Date | 2012-09-10 |
| Last Update Date | 2012-09-10 |