NPI | 1093817462 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX O04869005364) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 15706) |
Enumeration Date | 2006-09-05 |
Last Update Date | 2025-09-11 |