| NPI | 1649541525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 66352) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 201561) |
| Enumeration Date | 2012-01-24 |
| Last Update Date | 2012-04-26 |