| NPI | 1770543746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 201774) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 2632) |
| 106H00000X Marriage & Family Therapist (Licence: UT 4991874) | |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2011-10-27 |