| NPI | 1881784965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: TX 17206) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 5008) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2008-08-27 |