| NPI | 1356817555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 203622) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MG60848425) |
| Enumeration Date | 2018-10-16 |
| Last Update Date | 2024-02-27 |