NPI | 1083809743 |
---|---|
Former Name | JANINE ALANE FLAGG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX LMFT-202319) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 9955) |
Enumeration Date | 2007-09-06 |
Last Update Date | 2023-11-30 |