| NPI | 1770975419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 204615) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NV MI0622) |
| Enumeration Date | 2015-03-03 |
| Last Update Date | 2025-10-10 |