| NPI | 1720018104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TX 11604) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 003629) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2008-07-16 |