| NPI | 1295886620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 11048) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 2574) |
| 163WG0000X Registered Nurse, General Practice (Licence: TX 418333) | |
| Enumeration Date | 2007-01-14 |
| Last Update Date | 2007-07-09 |