| NPI | 1093869885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 201677) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: TX 970008) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2018-10-09 |