| NPI | 1760242408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 203124) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 40092) |
| Enumeration Date | 2024-03-20 |
| Last Update Date | 2024-03-20 |