| NPI | 1053388348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 202226) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC35133) |
| Enumeration Date | 2006-03-05 |
| Last Update Date | 2021-05-24 |