| NPI | 1558662833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: UT 7779095-3904) |
| Additional Taxonomies | 253J00000X Foster Care Agency |
| Enumeration Date | 2010-11-03 |
| Last Update Date | 2016-02-24 |