| NPI | 1366401309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 00084600084) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 00084600084) |
| Enumeration Date | 2006-03-20 |
| Last Update Date | 2008-05-14 |