| NPI | 1164587093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 4880) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 15473) |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2009-12-16 |