| NPI | 1811228281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist Counseling (Licence: TX 19897) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: TX 19897) |
| 103TF0000X Psychologist Family (Licence: TX 19897) | |
| 106H00000X Marriage & Family Therapist (Licence: TX 19897) | |
| Enumeration Date | 2010-01-24 |
| Last Update Date | 2010-01-24 |