| NPI | 1568232056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 202373) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: TX 73185) |
| Enumeration Date | 2024-01-04 |
| Last Update Date | 2024-01-04 |