| NPI | 1366839482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 202006) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OK 1296) |
| 106H00000X Marriage & Family Therapist (Licence: MI 4101006792) | |
| 106H00000X Marriage & Family Therapist (Licence: NY 001835-01) | |
| Enumeration Date | 2015-04-16 |
| Last Update Date | 2026-04-30 |