| NPI | 1427737055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 204230) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KY 105360) |
| Enumeration Date | 2023-07-12 |
| Last Update Date | 2023-07-12 |