| NPI | 1497735716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 4593) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: TX 552483) |
| Enumeration Date | 2006-01-20 |
| Last Update Date | 2022-04-18 |