| NPI | 1255812624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NM CMF0197861) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: GA LPC008435) |
| 106H00000X Marriage & Family Therapist (Licence: GA MFT001348) | |
| 101Y00000X Counselor (Licence: NM CCMH0201901) | |
| Enumeration Date | 2018-08-23 |
| Last Update Date | 2020-09-29 |