| NPI | 1801410709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 90517) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA amft117913) |
| Enumeration Date | 2020-06-05 |
| Last Update Date | 2024-07-23 |