| NPI | 1770681355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 15653) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701003431) |
| 106H00000X Marriage & Family Therapist (Licence: VA 0717001012) | |
| 106H00000X Marriage & Family Therapist (Licence: TX 4839) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2007-07-09 |