| NPI | 1861624298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 204660) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC 7496) |
| 101YP2500X Counselor, Professional (Licence: NC 7496) | |
| Enumeration Date | 2009-08-18 |
| Last Update Date | 2023-02-17 |