| NPI | 1235511148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 203285) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: GA mft001406) |
| Enumeration Date | 2015-06-26 |
| Last Update Date | 2021-02-15 |