| NPI | 1891861282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 202723) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA 1567) |
| 106H00000X Marriage & Family Therapist (Licence: MI 4101006419) | |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2016-11-17 |