| NPI | 1679549810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 10493) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AR P9204008) |
| 106H00000X Marriage & Family Therapist (Licence: TX 003155) | |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2007-07-08 |