| NPI | 1669531786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 14987) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 5057) |
| 101Y00000X Counselor (Licence: TX 48315) | |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2018-08-30 |