| NPI | 1205377439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 201657) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA LMFT41607) |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2017-03-20 |