| NPI | 1184053753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NV 2624) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 205835) |
| Enumeration Date | 2013-11-04 |
| Last Update Date | 2026-04-06 |