| NPI | 1861706830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 201256) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 64853) |
| Enumeration Date | 2010-08-02 |
| Last Update Date | 2010-08-02 |