| NPI | 1861501876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 11808) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: TX 5873) |
| 106H00000X Marriage & Family Therapist (Licence: TX 003093-020335) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2015-10-12 |