| NPI | 1225167166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 204379) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 40737) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2024-05-17 |