| NPI | 1740896653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: UT 11830837-3902) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: UT 11830837-3904) |
| Enumeration Date | 2020-09-17 |
| Last Update Date | 2023-01-09 |