| NPI | 1609319151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT3069) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 203290) |
| Enumeration Date | 2016-11-30 |
| Last Update Date | 2023-09-13 |