| NPI | 1841634748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 203564) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NC 21032) |
| 171W00000X Contractor | |
| Enumeration Date | 2013-04-22 |
| Last Update Date | 2026-01-14 |