| NPI | 1497813786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 1224) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 01859) |
| 106H00000X Marriage & Family Therapist (Licence: TX 003480-034597) | |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2010-05-13 |