| NPI | 1699435560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 203197) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: UT 118621533902) |
| 106H00000X Marriage & Family Therapist (Licence: CO mft.0001893) | |
| 106H00000X Marriage & Family Therapist (Licence: FL mt4187) | |
| Enumeration Date | 2021-12-20 |
| Last Update Date | 2021-12-20 |