| NPI | 1750437513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 202593) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NC 1161) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2018-07-30 |