| NPI | 1831529692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 71519) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 202158) |
| Enumeration Date | 2013-11-14 |
| Last Update Date | 2015-02-26 |