| NPI | 1649504317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 1620) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 201792) |
| Enumeration Date | 2009-09-28 |
| Last Update Date | 2015-04-07 |