| NPI | 1912928821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 819) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX S02102) |
| 106H00000X Marriage & Family Therapist (Licence: TX 9001355-0019264) | |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2007-07-09 |