| NPI | 1508426727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 14974) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 14974) |
| 101YM0800X Counselor, Mental Health (Licence: TX 14974) | |
| Enumeration Date | 2019-06-19 |
| Last Update Date | 2024-04-26 |