| NPI | 1760878698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: SC 4687) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 202041) |
| Enumeration Date | 2015-04-07 |
| Last Update Date | 2024-05-09 |