| NPI | 1881027167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 66430) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 201418) |
| Enumeration Date | 2013-08-09 |
| Last Update Date | 2020-04-01 |