| NPI | 1518426758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 203704) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL 3458) |
| Enumeration Date | 2019-03-18 |
| Last Update Date | 2021-10-06 |