| NPI | 1528167525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 03994) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 3806) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2022-07-21 |