| NPI | 1407170228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 201519) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 65083) |
| Enumeration Date | 2010-03-23 |
| Last Update Date | 2010-03-23 |