| NPI | 1861810798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TX 71800) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 202238) |
| Enumeration Date | 2014-03-28 |
| Last Update Date | 2020-03-20 |