| NPI | 1073756664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: TX 63345) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 201262) |
| Enumeration Date | 2009-04-12 |
| Last Update Date | 2009-04-12 |