| NPI | 1962599985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 16860) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 16860) |
| 106H00000X Marriage & Family Therapist (Licence: TX 5053) | |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2019-03-22 |