| NPI | 1215693296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 204231) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL TPMC2976) |
| 101YP2500X Counselor, Professional (Licence: TX 87503) | |
| 101YP2500X Counselor, Professional (Licence: ID LPC-6741) | |
| Enumeration Date | 2021-11-13 |
| Last Update Date | 2023-04-13 |