| NPI | 1609149798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 66042) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 201589) |
| Enumeration Date | 2012-02-20 |
| Last Update Date | 2024-01-22 |