| NPI | 1740925403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MT 56559) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 83698) |
| 101YP2500X Counselor Professional (Licence: MT 56559) | |
| Enumeration Date | 2022-04-27 |
| Last Update Date | 2022-12-27 |