| NPI | 1114048097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 203154) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC45387) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2018-11-16 |