| NPI | 1821766452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 71320) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL TPMF434) |
| 101YP2500X Counselor, Professional (Licence: CO 0017763) | |
| 106H00000X Marriage & Family Therapist (Licence: TX 202227) | |
| Enumeration Date | 2021-08-30 |
| Last Update Date | 2022-04-05 |