| NPI | 1649214602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YS0200X Counselor, School | |
| 106H00000X Marriage & Family Therapist (Licence: TX 004297) | |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2007-07-09 |