| NPI | 1659473114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 00791) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 4223) |
| Enumeration Date | 2006-09-03 |
| Last Update Date | 2007-07-08 |