| NPI | 1114154838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: UT 9542510-3902) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NV 01107) |
| Enumeration Date | 2009-06-20 |
| Last Update Date | 2021-01-13 |