| NPI | 1346695210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 201662) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 37881) |
| Enumeration Date | 2016-04-28 |
| Last Update Date | 2016-04-28 |