| NPI | 1841407475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 62053) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 200974) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2023-10-02 |