| NPI | 1124026364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 101YM0800X) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 106H00000X) |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2007-07-08 |