| NPI | 1194297598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 203314) |
| Enumeration Date | 2018-12-23 |
| Last Update Date | 2024-04-30 |