| NPI | 1942307277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 201553) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL pmh1445) |
| 101YP2500X Counselor, Professional (Licence: TX 63920) | |
| 106H00000X Marriage & Family Therapist (Licence: CA 47495) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2019-08-23 |