| NPI | 1891043196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 3203) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 201328) |
| 106H00000X Marriage & Family Therapist (Licence: TX 201328) | |
| Enumeration Date | 2012-08-17 |
| Last Update Date | 2019-08-08 |