| NPI | 1508849704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 11924) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 11924) |
| 101YM0800X Counselor, Mental Health (Licence: TX 11924) | |
| 103TC1900X Psychologist, Counseling (Licence: TX 11924) | |
| 103T00000X Psychologist (Licence: TX 11924) | |
| 106H00000X Marriage & Family Therapist (Licence: TX 2906) | |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2008-08-07 |