| NPI | 1043683592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 202638) |
| Enumeration Date | 2015-11-05 |
| Last Update Date | 2018-10-09 |