| NPI | 1467715052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 202362) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC 47010) |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2016-09-20 |