| NPI | 1265737340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NV 01422) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 106H00000X Marriage & Family Therapist (Licence: UT 12137511-3902) | |
| 106H00000X Marriage & Family Therapist (Licence: GA MFT001595) | |
| Enumeration Date | 2011-01-20 |
| Last Update Date | 2023-12-09 |