| NPI | 1073613956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 3713) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 001540) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: TX 429429) | |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2007-07-09 |