| NPI | 1659424695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 5192) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 19684) |
| Enumeration Date | 2007-01-21 |
| Last Update Date | 2011-07-29 |