| NPI | 1619052875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 13861) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 2470) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2014-02-27 |