| NPI | 1255429759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: UT 5920285-3904) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: UT 59202853902) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2019-06-13 |