| NPI | 1386914851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 203256) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NC 1403) |
| Enumeration Date | 2011-12-30 |
| Last Update Date | 2024-11-21 |