| NPI | 1457638751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 14511) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 4800) |
| Enumeration Date | 2011-11-15 |
| Last Update Date | 2011-11-15 |