| NPI | 1295923365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 202720) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WI 778-124) |
| 106H00000X Marriage & Family Therapist (Licence: OR T1719) | |
| Enumeration Date | 2007-10-13 |
| Last Update Date | 2022-04-05 |