NPI | 1043588718 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 84742) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: LA 3182) |
251B00000X Case Management | |
101YP2500X Counselor, Professional (Licence: LA 3182) | |
Enumeration Date | 2011-12-08 |
Last Update Date | 2024-10-21 |