| NPI | 1114098159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 10287) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 674) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2008-09-09 |