| NPI | 1669668489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 203353) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 40508) |
| Enumeration Date | 2007-09-16 |
| Last Update Date | 2020-12-09 |