| NPI | 1821572769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 205768) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 134208) |
| Enumeration Date | 2018-09-17 |
| Last Update Date | 2025-01-06 |