| NPI | 1437998515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: UT 13530149-3904) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: UT 13530149-3902) |
| Enumeration Date | 2024-05-20 |
| Last Update Date | 2025-08-15 |