| NPI | 1245551043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 201417) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 64289) |
| Enumeration Date | 2010-06-15 |
| Last Update Date | 2013-01-22 |