| NPI | 1831295625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 3826) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 3252) |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2022-06-10 |