| NPI | 1164786547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 202592) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IA 000378) |
| Enumeration Date | 2012-06-29 |
| Last Update Date | 2018-02-15 |