| NPI | 1689335861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 203999) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: UT 11439616-3904) |
| Enumeration Date | 2022-01-10 |
| Last Update Date | 2022-01-10 |