| NPI | 1487789426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: TX 16215) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: TX 16215) |
| 101YP1600X Counselor Pastoral (Licence: TX 16215) | |
| 101YP2500X Counselor Professional (Licence: TX 16215) | |
| 106H00000X Marriage & Family Therapist (Licence: TX 16215) | |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2007-07-08 |