| NPI | 1558589754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 3761) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 10077) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2010-04-22 |