| NPI | 1689077067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 204510) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT4131) |
| Enumeration Date | 2014-09-30 |
| Last Update Date | 2023-10-13 |