| NPI | 1063905693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 83380) |
| Additional Taxonomies | 101Y00000X Counselor |
| 106H00000X Marriage & Family Therapist (Licence: TX 203912) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2018-06-08 |
| Last Update Date | 2022-01-11 |