| NPI | 1902968092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 163) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 164345193) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2010-01-26 |