| NPI | 1962931394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 204697) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KS 3131) |
| 106H00000X Marriage & Family Therapist (Licence: NE 12240) | |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2022-08-31 |