| NPI | 1306383435 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 71697) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 71697) |
| 101YM0800X Counselor, Mental Health (Licence: TX 202103) | |
| 106H00000X Marriage & Family Therapist (Licence: TX 202103) | |
| Enumeration Date | 2017-01-26 |
| Last Update Date | 2022-01-06 |