| NPI | 1417677600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 204678) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MA 10000801) |
| 106H00000X Marriage & Family Therapist (Licence: VT 100.0134548TELE) | |
| Enumeration Date | 2022-08-30 |
| Last Update Date | 2026-07-14 |