| NPI | 1306380332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 203530) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 112039) |
| 106H00000X Marriage & Family Therapist (Licence: NV 4392-R) | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2016-12-09 |
| Last Update Date | 2022-10-17 |