| NPI | 1366842379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT4488) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 201877) |
| Enumeration Date | 2014-08-27 |
| Last Update Date | 2023-06-01 |