| NPI | 1437324266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 65936) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: UT 6878529-3904) |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2009-12-31 |