| NPI | 1124582705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT4043) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NC 2034) |
| 106H00000X Marriage & Family Therapist (Licence: TX 202834) | |
| Enumeration Date | 2019-01-28 |
| Last Update Date | 2021-11-04 |