| NPI | 1619226222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 202494) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 52951) |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2023-09-27 |