| NPI | 1053639716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: DC 137) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 64650) |
| 106H00000X Marriage & Family Therapist (Licence: TX 201152) | |
| Enumeration Date | 2010-05-05 |
| Last Update Date | 2011-06-14 |