| NPI | 1669926945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 204538) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT4677) |
| 106H00000X Marriage & Family Therapist (Licence: CO MFT.0001766) | |
| 106H00000X Marriage & Family Therapist (Licence: NY 001615) | |
| Enumeration Date | 2016-08-04 |
| Last Update Date | 2024-11-01 |