| NPI | 1679657282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: TX S05728) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 3858) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2009-05-27 |