| NPI | 1346266384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TX 9231) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: TX 4209) |
| 106H00000X Marriage & Family Therapist (Licence: TX 3608) | |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2007-10-29 |