| NPI | 1881600856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 1976) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: LA 307) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2011-02-14 |