| NPI | 1558577437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 201131) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 44115) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2011-09-29 |