| NPI | 1740962588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 205289) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CO 0003040) |
| Enumeration Date | 2023-08-02 |
| Last Update Date | 2026-03-05 |