| NPI | 1861735540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: TX 65462) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 201518) |
| Enumeration Date | 2013-04-01 |
| Last Update Date | 2019-07-12 |