| NPI | 1659828135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: UT 1194232-3904) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 106H00000X Marriage & Family Therapist (Licence: NV 1659828135) | |
| 106H00000X Marriage & Family Therapist (Licence: NV MI904) | |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2021-05-13 |