| NPI | 1174838791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 10604) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 3053) |
| Enumeration Date | 2010-08-09 |
| Last Update Date | 2022-06-21 |