| NPI | 1215551056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: UT 11723572-3902) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: UT 11723572-3904) |
| Enumeration Date | 2020-06-07 |
| Last Update Date | 2022-12-22 |