| NPI | 1700219672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 201021) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: TX 65893) |
| 106H00000X Marriage & Family Therapist (Licence: CO 0002496) | |
| Enumeration Date | 2013-08-15 |
| Last Update Date | 2024-03-15 |