| NPI | 1841649209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 204319) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 113117) |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2024-08-14 |