| NPI | 1629108345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 16979) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 16979) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2009-08-11 |