| NPI | 1982241329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 204398) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 127348) |
| Enumeration Date | 2019-12-04 |
| Last Update Date | 2022-01-24 |