| NPI | 1891196028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: LA 1189) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: LA 5314) |
| Enumeration Date | 2014-09-08 |
| Last Update Date | 2019-04-13 |