| NPI | 1184378564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT3891) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: AL 372) |
| 106H00000X Marriage & Family Therapist (Licence: TX 204406) | |
| Enumeration Date | 2022-02-04 |
| Last Update Date | 2022-02-04 |