| NPI | 1376862011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC008849) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH14517) |
| 101YP2500X Counselor, Professional (Licence: TX 64335) | |
| 106H00000X Marriage & Family Therapist (Licence: TX 201347) | |
| Enumeration Date | 2010-05-20 |
| Last Update Date | 2018-05-15 |