| NPI | 1518025600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: TX 8228) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 002396042440) |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: TX 223813) | |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2024-09-07 |