| NPI | 1356709968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: UT 9883021-3902) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 106H00000X Marriage & Family Therapist (Licence: MO 2014030128) | |
| Enumeration Date | 2016-02-10 |
| Last Update Date | 2017-02-01 |