| NPI | 1851880736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 5048) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 16232) |
| Enumeration Date | 2018-05-06 |
| Last Update Date | 2018-05-06 |