| NPI | 1336696772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 203963) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 53476) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2022-08-17 |