| NPI | 1093357659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 202898) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 77711) |
| Enumeration Date | 2019-10-15 |
| Last Update Date | 2022-09-06 |