| NPI | 1740583905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 66709) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 66709) |
| Enumeration Date | 2010-12-09 |
| Last Update Date | 2024-05-11 |