| NPI | 1578618096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 002914042697) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: TX LPC09167) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2015-10-05 |