| NPI | 1497099535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: UT 7336931-3902) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC37461) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2019-05-09 |