| NPI | 1275076481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT4370) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NC 1963) |
| 106H00000X Marriage & Family Therapist (Licence: TX 204722) | |
| Enumeration Date | 2016-11-21 |
| Last Update Date | 2023-09-08 |