| NPI | 1285387340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 203620) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CO 0002220) |
| Enumeration Date | 2022-01-30 |
| Last Update Date | 2023-01-13 |