| NPI | 1619491065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 67015) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 201671) |
| Enumeration Date | 2017-07-27 |
| Last Update Date | 2022-07-21 |