| NPI | 1568701167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: LA 356) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 67981) |
| 101YP2500X Counselor, Professional (Licence: LA 2016) | |
| Enumeration Date | 2013-02-04 |
| Last Update Date | 2021-05-10 |