| NPI | 1265952196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 82628) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 82628) |
| 106H00000X Marriage & Family Therapist | |
| 225600000X Dance Therapist (Licence: 2467) | |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2021-09-22 |