NPI | 1053935395 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 5130) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 20022) |
Enumeration Date | 2020-06-02 |
Last Update Date | 2020-06-02 |