| NPI | 1194854042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 4801) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 14030) |
| 104100000X Social Worker (Licence: TX 13584) | |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2007-10-18 |