| NPI | 1588123020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 204899) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NY 001901) |
| Enumeration Date | 2019-03-14 |
| Last Update Date | 2024-08-08 |