| NPI | 1881617421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 203452) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC44255) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2019-07-15 |