| NPI | 1114006400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX LPC-11400) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: TX 11400) |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2020-02-19 |