| NPI | 1710118773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 64901) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 64901) |
| 106H00000X Marriage & Family Therapist (Licence: TX 201313) | |
| Enumeration Date | 2009-08-07 |
| Last Update Date | 2010-08-20 |