| NPI | 1942322532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 17137) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 200937) |
| 101Y00000X Counselor (Licence: TX 17137) | |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2025-07-30 |