| NPI | 1205943685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 201270) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 64545) |
| 106H00000X Marriage & Family Therapist (Licence: CA MFC 42975) | |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2019-09-03 |