| NPI | 1639499221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT3308) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 203449) |
| 106H00000X Marriage & Family Therapist (Licence: CA 102678) | |
| Enumeration Date | 2010-06-04 |
| Last Update Date | 2019-04-13 |