| NPI | 1407972581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 203020) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF39209) |
| 106H00000X Marriage & Family Therapist (Licence: CA MFC45709) | |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2018-08-03 |