| NPI | 1073178844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 6769) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2020005295) |
| 101YP2500X Counselor, Professional (Licence: TX 84550) | |
| 106H00000X Marriage & Family Therapist (Licence: LA MFT1330) | |
| Enumeration Date | 2019-05-07 |
| Last Update Date | 2025-01-02 |