| NPI | 1083727812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 7083) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 002892-040329) |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2010-01-19 |