| NPI | 1770057259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NV 3234-R) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: TN 1455) |
| 106H00000X Marriage & Family Therapist (Licence: TN LMT0000001455) | |
| 106H00000X Marriage & Family Therapist (Licence: AL L556) | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2019-01-17 |
| Last Update Date | 2021-04-03 |