| NPI | 1790467132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 203014) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 78564) |
| 106H00000X Marriage & Family Therapist (Licence: NY 001994) | |
| Enumeration Date | 2023-08-04 |
| Last Update Date | 2023-08-04 |