| NPI | 1386299170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 16889) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 4994) |
| Enumeration Date | 2019-08-07 |
| Last Update Date | 2019-08-07 |