| NPI | 1104584200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: UT 14269230-3902) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TN 1853) |
| Enumeration Date | 2021-12-06 |
| Last Update Date | 2026-02-04 |