| NPI | 1972665859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 08533) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 1250) |
| 235Z00000X Speech-Language Pathologist, (Licence: TX 11742) | |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2007-07-08 |