| NPI | 1881927499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 202956) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KS 1084) |
| Enumeration Date | 2009-09-14 |
| Last Update Date | 2023-03-10 |