| NPI | 1346371069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 204241) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 113145) |
| 106H00000X Marriage & Family Therapist (Licence: CA IMF79859) | |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2021-10-14 |