| NPI | 1639180326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 1705) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: TX 17452) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2021-02-03 |