| NPI | 1013071737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 12026) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: TX 31818) |
| 106H00000X Marriage & Family Therapist (Licence: TX 4517) | |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2007-07-09 |