| NPI | 1831590058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 204342) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 115903) |
| Enumeration Date | 2014-09-07 |
| Last Update Date | 2022-07-06 |