| NPI | 1619518479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: UT 12068682-3902) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: FL MH15434) |
| 106H00000X Marriage & Family Therapist (Licence: CA 87921) | |
| 101YM0800X Counselor Mental Health (Licence: MN 2912) | |
| 106H00000X Marriage & Family Therapist (Licence: FL MT4230) | |
| Enumeration Date | 2019-10-03 |
| Last Update Date | 2021-12-02 |