| NPI | 1245534494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 201644) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2011-01-03 |
| Last Update Date | 2011-01-03 |