| NPI | 1073703120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: AZ 10258) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 5171) |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2024-09-08 |