| NPI | 1023039716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 1248) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LC2107) |
| 101YP2500X Counselor, Professional (Licence: TX 9624) | |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2011-04-17 |