| NPI | 1215471974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 73656) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 202410) |
| 101Y00000X Counselor (Licence: TX 73656) | |
| 101YM0800X Counselor, Mental Health (Licence: TX 73656) | |
| Enumeration Date | 2016-12-14 |
| Last Update Date | 2022-05-20 |