| NPI | 1245529981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX O1587) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 2425) |
| Enumeration Date | 2011-04-04 |
| Last Update Date | 2011-04-04 |