NPI | 1467096917 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: UT 11151552-3904) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: UT 11151552-3902) |
Enumeration Date | 2019-10-28 |
Last Update Date | 2023-08-16 |