| NPI | 1083081673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 201746) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 69187) |
| Enumeration Date | 2015-08-31 |
| Last Update Date | 2015-08-31 |