| NPI | 1750623286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 202008) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CT 3311) |
| Enumeration Date | 2013-03-22 |
| Last Update Date | 2023-12-12 |