| NPI | 1174680862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 11961) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 11961) |
| 103T00000X Psychologist (Licence: TX 11961) | |
| 101YM0800X Counselor, Mental Health (Licence: TX 11961) | |
| 106H00000X Marriage & Family Therapist (Licence: TX 11961) | |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2009-01-27 |