| NPI | 1528077831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NM 201881) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 202083) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2019-06-20 |