| NPI | 1417910662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 5074) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 17640) |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2010-08-12 |