| NPI | 1891858726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 62694) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 200978) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2011-07-11 |