| NPI | 1184831794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 201245) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2023-01-07 |