| NPI | 1639291347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 201903) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC47515) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2012-10-22 |