| NPI | 1669649091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: UT 9247402-3902) |
| 106H00000X Marriage & Family Therapist (Licence: UT 9247402-3902) | |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2023-05-22 |