| NPI | 1639664915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 202603) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 75388) |
| Enumeration Date | 2018-06-28 |
| Last Update Date | 2018-06-28 |