| NPI | 1861594855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 000120042093) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: TX 22898) |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2025-09-11 |