| NPI | 1194950147 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 203596)  | 
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 55190)  | 
| Enumeration Date | 2009-05-20 | 
| Last Update Date | 2024-06-24 |