| NPI | 1518377167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR T1311) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 106H00000X Marriage & Family Therapist (Licence: TX 201998) | |
| 106H00000X Marriage & Family Therapist (Licence: CT 001672) | |
| Enumeration Date | 2014-05-05 |
| Last Update Date | 2021-02-15 |