| NPI | 1255406385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 203310) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC 47137) |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2021-05-13 |