| NPI | 1477002186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 201679) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 74326) |
| 101YP2500X Counselor, Professional (Licence: TX 74326) | |
| Enumeration Date | 2016-09-23 |
| Last Update Date | 2024-05-02 |