| NPI | 1649098930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 98199) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 205694) |
| Enumeration Date | 2024-09-26 |
| Last Update Date | 2026-08-26 |