| NPI | 1376601526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TX 19743) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 201103) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2007-07-09 |