| NPI | 1316160898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 201005) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 62379) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2013-07-18 |