| NPI | 1104228691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 2049) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 9968) |
| Enumeration Date | 2014-09-16 |
| Last Update Date | 2014-09-16 |