NPI | 1053098095 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 91250) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 205057) |
Enumeration Date | 2023-06-30 |
Last Update Date | 2023-06-30 |