| NPI | 1801005186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TX 19680) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: TX 33159) |
| 106H00000X Marriage & Family Therapist (Licence: TX 004783-005227) | |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2007-07-08 |