| NPI | 1053668483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 201541) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: TX 66290) |
| Enumeration Date | 2012-08-03 |
| Last Update Date | 2023-10-23 |