| NPI | 1124398714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 65493) |
| 106H00000X Marriage & Family Therapist (Licence: TX 201491) | |
| Enumeration Date | 2012-01-12 |
| Last Update Date | 2015-03-23 |