| NPI | 1164442448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: TX LPC14058) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TX LMFT4781) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2007-07-08 |