| NPI | 1790904902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: TX 20052) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 20052) |
| 101YP1600X Counselor, Pastoral (Licence: TX 20052) | |
| 101YP2500X Counselor, Professional (Licence: TX 20052) | |
| 102L00000X Psychoanalyst (Licence: TX 20052) | |
| 106H00000X Marriage & Family Therapist (Licence: TX 20052) | |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2007-07-08 |