| NPI | 1467539098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: CO 5250) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 4188) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2022-07-21 |