| NPI | 1912261769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 201600) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 67125) |
| Enumeration Date | 2012-06-26 |
| Last Update Date | 2024-04-12 |