| NPI | 1487011045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 203019) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 78318) |
| 106H00000X Marriage & Family Therapist (Licence: MO 2015037001) | |
| Enumeration Date | 2016-01-26 |
| Last Update Date | 2020-02-17 |