| NPI | 1932220209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 11797) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 003801-037430) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2007-07-08 |