| NPI | 1083076640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 203671) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO 0001463) |
| 106H00000X Marriage & Family Therapist (Licence: OH M 1400016) | |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2023-07-22 |