| NPI | 1801168901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 201563) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 65918) |
| Enumeration Date | 2012-02-03 |
| Last Update Date | 2015-10-27 |