| NPI | 1306261078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 206007) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 107484) |
| Enumeration Date | 2014-03-04 |
| Last Update Date | 2025-12-11 |