NPI | 1063051308 |
---|---|
Former Name | KELLY SEVIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 202509) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
106H00000X Marriage & Family Therapist | |
Enumeration Date | 2020-01-03 |
Last Update Date | 2024-08-21 |