| NPI | 1245445857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TX 10352) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 003754042960) |
| 364SP0809X Clinical Nurse Specialist Psychiatric/Mental Health, Adult (Licence: TX 461594) | |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2007-07-08 |