| NPI | 1063669042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 203484) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: GA MFT001071) |
| Enumeration Date | 2008-08-21 |
| Last Update Date | 2023-02-22 |