| NPI | 1881924207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TF0000X Psychologist, Family (Licence: TX 34025) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 5150) |
| Enumeration Date | 2010-01-07 |
| Last Update Date | 2010-01-07 |