| NPI | 1578731352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 1908) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 201724) |
| Enumeration Date | 2008-02-14 |
| Last Update Date | 2019-01-07 |