| NPI | 1417199555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 201839) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 00201948) |
| Enumeration Date | 2009-04-06 |
| Last Update Date | 2015-04-15 |