| NPI | 1659854503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 77298) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 202800) |
| Enumeration Date | 2018-09-06 |
| Last Update Date | 2019-07-29 |