| NPI | 1316587702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 202878) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 75817) |
| Enumeration Date | 2020-01-13 |
| Last Update Date | 2021-03-04 |