| NPI | 1891131835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 4384) |
| Additional Taxonomies | 101YS0200X Counselor, School |
| 106H00000X Marriage & Family Therapist (Licence: LA 2914) | |
| Enumeration Date | 2013-05-16 |
| Last Update Date | 2015-12-01 |