| NPI | 1225361314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: LA 163) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA 163) |
| 101YM0800X Counselor, Mental Health (Licence: TX 4011) | |
| 106H00000X Marriage & Family Therapist (Licence: TX 4011) | |
| Enumeration Date | 2009-09-08 |
| Last Update Date | 2009-11-23 |