| NPI | 1457422594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 246) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL 6589) |
| 101YP2500X Counselor, Professional (Licence: TX 2583) | |
| Enumeration Date | 2006-11-12 |
| Last Update Date | 2007-09-28 |