| NPI | 1952451734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: ID LMFT-2868) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: ID LPC-2653) |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2011-09-29 |