| NPI | 1568739563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 201730) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: TX 68241) |
| Enumeration Date | 2011-11-19 |
| Last Update Date | 2023-08-14 |