| NPI | 1467662338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MO 2008034250) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 200836) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2011-04-28 |