| NPI | 1912219262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 201571) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 66621) |
| Enumeration Date | 2010-07-01 |
| Last Update Date | 2015-12-11 |