| NPI | 1356474944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: UT 11517195-3902) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WI 591-124) |
| 106H00000X Marriage & Family Therapist (Licence: KS 273) | |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2022-03-29 |