| NPI | 1992978472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TX 16967) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 16967) |
| 106H00000X Marriage & Family Therapist (Licence: TX 4804) | |
| Enumeration Date | 2008-04-07 |
| Last Update Date | 2008-04-07 |