| NPI | 1235200080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 59985) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 59985) |
| 101YM0800X Counselor, Mental Health (Licence: TX 59985) | |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2025-11-17 |