| NPI | 1316057458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: TX 2351) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: TX 23519) |
| 106H00000X Marriage & Family Therapist (Licence: TX 000416042089) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2007-07-08 |