| NPI | 1811601636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: UT 13188885-3902) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 204937) |
| Enumeration Date | 2023-01-06 |
| Last Update Date | 2024-10-09 |