| NPI | 1215962147 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 046968) | 
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 10009) | 
| Enumeration Date | 2006-07-11 | 
| Last Update Date | 2025-09-11 |