| NPI | 1205494028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 78330) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NJ 37PC01128000) |
| 101YP2500X Counselor, Professional (Licence: LA 8718) | |
| 101YM0800X Counselor, Mental Health (Licence: FL TPMC1175) | |
| Enumeration Date | 2019-06-05 |
| Last Update Date | 2026-03-05 |