| NPI | 1346564663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TX 19528) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 5159) |
| Enumeration Date | 2010-03-15 |
| Last Update Date | 2010-03-16 |