| NPI | 1306236286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: UT 11133431-3902) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: AL 400) |
| Enumeration Date | 2015-01-29 |
| Last Update Date | 2019-02-25 |