| NPI | 1477054120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 204048) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT3905) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2018-02-27 |
| Last Update Date | 2021-06-25 |