| NPI | 1457655631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: UT 9334269-3902) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: UT 9334269-3902) |
| Enumeration Date | 2011-01-03 |
| Last Update Date | 2026-06-21 |