| NPI | 1992916670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 1274) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 60786) |
| 106H00000X Marriage & Family Therapist (Licence: TX 200863) | |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2010-12-14 |