| NPI | 1558504472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 202207) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 60475) |
| Enumeration Date | 2009-04-07 |
| Last Update Date | 2020-12-10 |