| NPI | 1780757674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: TX 2 3594) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 1787) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2008-10-02 |