| NPI | 1790195980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 205018) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA MG 60458975) |
| Enumeration Date | 2014-04-28 |
| Last Update Date | 2026-04-16 |