| NPI | 1073869525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 69018) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 201804) |
| Enumeration Date | 2012-08-01 |
| Last Update Date | 2025-10-15 |