| NPI | 1295333896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 204794) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2020-10-15 |
| Last Update Date | 2024-06-10 |