| NPI | 1952820318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: UT 12394257-3902) |
| Enumeration Date | 2017-09-16 |
| Last Update Date | 2024-11-14 |