| NPI | 1669518528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT2051) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 201283) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2025-09-11 |