| NPI | 1669744009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 201471) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 65170) |
| Enumeration Date | 2012-02-01 |
| Last Update Date | 2020-08-19 |