| NPI | 1811280811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TX 64585) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 201216) |
| Enumeration Date | 2011-05-24 |
| Last Update Date | 2011-05-24 |