| NPI | 1720103070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: UT 8470183-3902) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC 47656) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2013-09-11 |