| NPI | 1477962447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 202869) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: VA 0717001295) |
| Enumeration Date | 2014-08-04 |
| Last Update Date | 2022-03-16 |