| NPI | 1194834390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 2935) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 77206) |
| 106H00000X Marriage & Family Therapist (Licence: LA 858) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-08-06 |