| NPI | 1275764912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MA 1451) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 203428) |
| Enumeration Date | 2009-07-29 |
| Last Update Date | 2021-09-13 |