| NPI | 1598106221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 67067) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 201690) |
| Enumeration Date | 2013-07-10 |
| Last Update Date | 2015-09-11 |