| NPI | 1386898849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 11092) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 4351) |
| Enumeration Date | 2008-11-11 |
| Last Update Date | 2022-07-13 |