| NPI | 1720687353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: TX 79907) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 203401) |
| Enumeration Date | 2020-10-24 |
| Last Update Date | 2020-10-24 |