| NPI | 1467618389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 62088) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 200933) |
| Enumeration Date | 2008-07-30 |
| Last Update Date | 2008-07-30 |