| NPI | 1760524938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 15604) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 4905) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2008-07-01 |