| NPI | 1700023678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 204436) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 46159) |
| Enumeration Date | 2009-01-14 |
| Last Update Date | 2022-04-28 |