| NPI | 1760694608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 1218) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 103TS0200X Psychologist, School | |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2009-03-27 |