| NPI | 1669893277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 71806) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 202191) |
| Enumeration Date | 2013-12-27 |
| Last Update Date | 2021-04-15 |