| NPI | 1326664392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 205610) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 133401) |
| Enumeration Date | 2020-06-24 |
| Last Update Date | 2024-10-12 |