| NPI | 1730223678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: TX 5032) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 005032041431) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2024-01-29 |