| NPI | 1942526397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: LA 1128) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: LA 3800) |
| Enumeration Date | 2010-04-09 |
| Last Update Date | 2016-07-07 |