| NPI | 1134290919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 005098-005745) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: TX 19209) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2007-07-08 |