| NPI | 1801960612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 2978) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 821) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2008-09-02 |