| NPI | 1932258357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 204404) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: UT 8488282) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2023-02-23 |