| NPI | 1124092382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX LCSW04317) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX LMFT03764) |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2010-12-16 |