| NPI | 1306240130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 202254) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 73205) |
| Enumeration Date | 2014-10-22 |
| Last Update Date | 2023-08-30 |