| NPI | 1346350238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX LPC 05402) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 361) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2019-03-14 |