| NPI | 1124734579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 204000) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 204000) |
| Enumeration Date | 2023-01-30 |
| Last Update Date | 2025-03-04 |