| NPI | 1770822009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 204032) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 109060) |
| Enumeration Date | 2013-02-06 |
| Last Update Date | 2024-08-06 |