| NPI | 1124452651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: UT 9152463-3902) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NV 1025) |
| Enumeration Date | 2013-09-03 |
| Last Update Date | 2020-12-31 |