| NPI | 1891719944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: LA 2120) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 14015) |
| 106H00000X Marriage & Family Therapist (Licence: LA 975) | |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2012-09-20 |