| NPI | 1962104414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 204903) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 91900) |
| Enumeration Date | 2023-03-20 |
| Last Update Date | 2024-10-23 |