| NPI | 1871708487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: CO 0012836) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 10095) |
| 106H00000X Marriage & Family Therapist (Licence: TX 244) | |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2023-01-27 |