| NPI | 1255686812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 202277) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OR T0879) |
| Enumeration Date | 2012-07-19 |
| Last Update Date | 2019-04-17 |