| NPI | 1962700633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 203645) |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner (Licence: NV 1702880509) |
| Enumeration Date | 2011-03-04 |
| Last Update Date | 2020-01-24 |