| NPI | 1962243683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 203735) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 87078) |
| Enumeration Date | 2024-06-05 |
| Last Update Date | 2024-06-12 |