| NPI | 1235872516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 204531) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: ID 4771591) |
| Enumeration Date | 2022-04-15 |
| Last Update Date | 2026-08-06 |