| NPI | 1962560508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: LA 1058) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA 3330) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2009-02-20 |