| NPI | 1477753432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TX 15323) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 4818) |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2018-03-20 |