| NPI | 1912139247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 201871) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC43825) |
| Enumeration Date | 2009-08-20 |
| Last Update Date | 2012-05-22 |