| NPI | 1063684645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 18894) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 5025) |
| Enumeration Date | 2008-03-24 |
| Last Update Date | 2008-03-24 |