| NPI | 1710057724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 000871) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 06462) |
| 106H00000X Marriage & Family Therapist (Licence: TX 002372) | |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2013-12-31 |