| NPI | 1851532717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 11923) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: TX 10587) |
| 106H00000X Marriage & Family Therapist (Licence: TX 3315) | |
| Enumeration Date | 2009-03-23 |
| Last Update Date | 2011-02-01 |