| NPI | 1285923136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 203437) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OK 1113) |
| 106H00000X Marriage & Family Therapist (Licence: AR M2011017) | |
| Enumeration Date | 2011-03-31 |
| Last Update Date | 2022-01-06 |