| NPI | 1760827794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 202574) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CO CO 613) |
| Enumeration Date | 2013-05-03 |
| Last Update Date | 2023-11-14 |