| NPI | 1538221353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: TX 432) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 0472) |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2018-08-02 |