| NPI | 1235350679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 60364) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 201210) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2011-06-11 |