| NPI | 1417224627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 200983) |
| Additional Taxonomies | 101YS0200X Counselor School |
| Enumeration Date | 2011-11-17 |
| Last Update Date | 2011-11-17 |