| NPI | 1518108406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TX 63209) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 201220) |
| Enumeration Date | 2009-03-23 |
| Last Update Date | 2010-03-28 |