| NPI | 1669919429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 203102) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 203102) |
| Enumeration Date | 2017-01-31 |
| Last Update Date | 2021-09-16 |