| NPI | 1871920983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 3023) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 251S00000X | |
| 106H00000X Marriage & Family Therapist (Licence: LA 898) | |
| Enumeration Date | 2013-10-03 |
| Last Update Date | 2023-06-22 |