| NPI | 1952997082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: UT 14230864-3902) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IL 166.001739) |
| Enumeration Date | 2020-12-13 |
| Last Update Date | 2026-01-06 |