| NPI | 1134745342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 78951) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 203091) |
| Enumeration Date | 2020-06-23 |
| Last Update Date | 2021-05-13 |