| NPI | 1861767956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 201441) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: TX 67376) |
| Enumeration Date | 2012-03-21 |
| Last Update Date | 2012-11-01 |