| NPI | 1184959363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 201401) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 64475) |
| Enumeration Date | 2009-10-06 |
| Last Update Date | 2011-06-23 |