| NPI | 1679705446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 201346) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 65981) |
| Enumeration Date | 2009-08-12 |
| Last Update Date | 2023-09-13 |