| NPI | 1093118028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 68995) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 201815) |
| Enumeration Date | 2014-10-05 |
| Last Update Date | 2024-03-13 |