| NPI | 1972798809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 202353) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 53902) |
| Enumeration Date | 2007-09-13 |
| Last Update Date | 2016-09-06 |