| NPI | 1447392188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 4968) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: TX 17308) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2008-08-22 |