| NPI | 1851748271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: UT 14281280-3902) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IA 130285) |
| 106H00000X Marriage & Family Therapist (Licence: CA 151869) | |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2026-08-05 |