| NPI | 1962486134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TX 15592) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 5054) |
| Enumeration Date | 2005-12-01 |
| Last Update Date | 2007-07-08 |