| NPI | 1205354487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IN 35002101A) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 202672) |
| Enumeration Date | 2017-09-07 |
| Last Update Date | 2023-03-28 |