| NPI | 1558629048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 204943) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LPC.0013138) |
| 106H00000X Marriage & Family Therapist (Licence: CO MFT.0001499) | |
| Enumeration Date | 2012-05-02 |
| Last Update Date | 2023-04-25 |