| NPI | 1558452128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: TX 10776) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 2214) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2011-08-04 |