| NPI | 1326461252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IN 35001371A) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 13975) |
| 106H00000X Marriage & Family Therapist (Licence: TX 4692) | |
| Enumeration Date | 2014-01-29 |
| Last Update Date | 2017-04-12 |