| NPI | 1508252610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: UT 11972481-3902) |
| Additional Taxonomies | 1041S0200X Social Worker, School |
| Enumeration Date | 2015-04-15 |
| Last Update Date | 2022-11-13 |