| NPI | 1063174563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 204178) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 124200) |
| Enumeration Date | 2021-10-12 |
| Last Update Date | 2021-10-12 |