| NPI | 1225104508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: TX 03322) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 03322) |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2007-07-08 |