| NPI | 1508343138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 202669) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: TX 77480) |
| Enumeration Date | 2018-07-26 |
| Last Update Date | 2022-01-29 |