| NPI | 1316073315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 201204) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC 42186) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2012-05-15 |