| NPI | 1285486712 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: UT 13462097-3904) | 
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: UT 13462097-3902) | 
| Enumeration Date | 2024-04-05 | 
| Last Update Date | 2025-06-09 |