| NPI | 1235340548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFT43461) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX MFT5097) |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2012-12-20 |