| NPI | 1992880611 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 2859) | 
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 7695) | 
| Enumeration Date | 2006-10-25 | 
| Last Update Date | 2025-09-11 |