| NPI | 1982754636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: UT 370730-3902) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OR T1683) |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2020-06-22 |