| NPI | 1083648612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 1790) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 2213) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2007-08-22 |