| NPI | 1962775049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 201814) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM 0171781) |
| 101YM0800X Counselor, Mental Health (Licence: TX 201814) | |
| 106H00000X Marriage & Family Therapist (Licence: NM 0171781) | |
| Enumeration Date | 2012-02-20 |
| Last Update Date | 2021-08-09 |