| NPI | 1740604370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 20410) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 64438) |
| 106H00000X Marriage & Family Therapist (Licence: TX 201278) | |
| Enumeration Date | 2014-02-18 |
| Last Update Date | 2024-09-26 |