| NPI | 1326146093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: AL L573) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: 51299) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: 51299) | |
| 101YM0800X Counselor, Mental Health (Licence: TX 87346) | |
| 101YM0800X Counselor, Mental Health (Licence: GA 012590) | |
| 101YP2500X Counselor, Professional (Licence: TX 87346) | |
| 101YP2500X Counselor, Professional (Licence: LA 2405) | |
| 101YP2500X Counselor, Professional (Licence: GA 012590) | |
| 106H00000X Marriage & Family Therapist (Licence: LA 153) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2023-03-08 |