| NPI | 1336959295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: UT 14193003-6009) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: UT 14193003-3904) |
| Enumeration Date | 2025-01-11 |
| Last Update Date | 2025-01-11 |