| NPI | 1679027387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: UT 11888939-3902) |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2016-08-10 |
| Last Update Date | 2023-02-27 |