| NPI | 1407948466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 9782) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 4134) |
| 102L00000X Psychoanalyst (Licence: TX 9782) | |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2011-02-01 |