| NPI | 1164984266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TX 70267) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 201958) |
| Enumeration Date | 2019-04-05 |
| Last Update Date | 2024-08-28 |