| NPI | 1265016752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 79050) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 203036) |
| Enumeration Date | 2021-05-10 |
| Last Update Date | 2024-06-25 |