| NPI | 1285796946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 202037) |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral |
| 106H00000X Marriage & Family Therapist (Licence: CA MFT24549) | |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2020-10-05 |