| NPI | 1871766824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: LA 392) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: LA 2677) |
| Enumeration Date | 2008-04-10 |
| Last Update Date | 2016-08-04 |