| NPI | 1255433058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 202969) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA LF60032224) |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2020-03-26 |