| NPI | 1326598780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 80350) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 203263) |
| Enumeration Date | 2016-10-10 |
| Last Update Date | 2020-06-01 |