| NPI | 1164857884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 71316) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 202231) |
| Enumeration Date | 2013-09-12 |
| Last Update Date | 2020-08-30 |