| NPI | 1417741109 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 205950) | 
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 98216) | 
| Enumeration Date | 2025-04-07 | 
| Last Update Date | 2025-04-07 |