| NPI | 1205943537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 1249) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 3959) |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2015-01-05 |