| NPI | 1881718955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA 004839) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 19484) |
| 101YP2500X Counselor, Professional (Licence: TN 000038) | |
| 106H00000X Marriage & Family Therapist (Licence: TN 000184) | |
| 106H00000X Marriage & Family Therapist (Licence: TX 005061) | |
| 106H00000X Marriage & Family Therapist (Licence: GA 001055) | |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2008-03-15 |