| NPI | 1407000441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX LPCI 63193) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX LMFT 201163) |
| Enumeration Date | 2008-11-04 |
| Last Update Date | 2009-10-08 |