| NPI | 1578860979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 63521) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 201119) |
| Enumeration Date | 2011-02-21 |
| Last Update Date | 2015-11-16 |