| NPI | 1730225905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 02788) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 001712-041968) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2007-07-08 |