| NPI | 1275697617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 201517) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC43647) |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2015-08-11 |