| NPI | 1336192426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 5151) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2021-06-16 |