| NPI | 1174953038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: UT 9890894-3902) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2013-11-13 |
| Last Update Date | 2022-11-28 |