| NPI | 1932318383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: LA LPC 2662) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: LA 715) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2007-07-08 |