| NPI | 1366616039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MD LCM336) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 203456) |
| Enumeration Date | 2008-04-14 |
| Last Update Date | 2019-06-25 |