| NPI | 1124270194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 202916) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 57156) |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2017-04-09 |