| NPI | 1073846663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: TX 63390) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 201186) |
| Enumeration Date | 2009-09-14 |
| Last Update Date | 2022-01-12 |