| NPI | 1023180601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 04991LPC) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: LA 70LPC) |
| 106H00000X Marriage & Family Therapist (Licence: TX 1926LMFT) | |
| 106H00000X Marriage & Family Therapist (Licence: LA 402LMFT) | |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2007-07-08 |