| NPI | 1790166882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT4708) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 205749) |
| Enumeration Date | 2015-06-15 |
| Last Update Date | 2024-11-24 |