| NPI | 1457559247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 201515) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA ME021363) |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2011-02-07 |