| NPI | 1760063549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61108704) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 73829) |
| 106H00000X Marriage & Family Therapist (Licence: TX 202479) | |
| Enumeration Date | 2021-04-14 |
| Last Update Date | 2022-09-04 |