| NPI | 1619906997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 07995) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 003447-042004) |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2018-03-27 |