| NPI | 1164757985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: UT 9480028-3902) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WY LMFT 121) |
| Enumeration Date | 2009-10-13 |
| Last Update Date | 2023-11-17 |