| NPI | 1356603492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: UT 5264488-3902) |
| Additional Taxonomies | 253J00000X Foster Care Agency |
| Enumeration Date | 2012-06-14 |
| Last Update Date | 2020-07-30 |