| NPI | 1821116013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TX 19714) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 5170) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2007-07-08 |