| NPI | 1154773000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 69884) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 202034) |
| Enumeration Date | 2016-07-04 |
| Last Update Date | 2018-05-21 |