| NPI | 1790127652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 1671) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 66393) |
| 101YM0800X Counselor, Mental Health (Licence: NC 11313) | |
| 106H00000X Marriage & Family Therapist (Licence: TX 201539) | |
| Enumeration Date | 2013-07-20 |
| Last Update Date | 2025-06-02 |