| NPI | 1740547801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: TX 66266) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 66266) |
| 101YP2500X Counselor, Professional | |
| 106H00000X Marriage & Family Therapist (Licence: TX 66266) | |
| Enumeration Date | 2012-04-13 |
| Last Update Date | 2012-04-13 |