| NPI | 1891935243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: TX 04771) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 2696) |
| Enumeration Date | 2009-02-25 |
| Last Update Date | 2009-02-25 |