| NPI | 1588149421 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 201920) | 
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 68815) | 
| Enumeration Date | 2018-09-26 | 
| Last Update Date | 2019-10-09 |