| NPI | 1578231346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 203591) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL TPMF427) |
| Enumeration Date | 2021-09-05 |
| Last Update Date | 2024-05-21 |