| NPI | 1558794917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 202773) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NC 9020A) |
| Enumeration Date | 2013-08-20 |
| Last Update Date | 2016-11-03 |