| NPI | 1679964233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 11403) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 86670) |
| 101YM0800X Counselor, Mental Health (Licence: SD LPC20617) | |
| 106H00000X Marriage & Family Therapist (Licence: NC 1920) | |
| 106H00000X Marriage & Family Therapist (Licence: TX 204242) | |
| Enumeration Date | 2015-02-17 |
| Last Update Date | 2025-05-21 |