| NPI | 1538632948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: UT 13201537-3904) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2019-01-08 |
| Last Update Date | 2023-12-07 |