| NPI | 1639317589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: UT 11360888-3904) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 54822) |
| Enumeration Date | 2009-01-30 |
| Last Update Date | 2021-12-02 |