| NPI | 1720774755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: UT 14056295-3904) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KS 03499) |
| Enumeration Date | 2023-04-13 |
| Last Update Date | 2024-08-26 |