NPI | 1104619683 |
---|---|
Former Name | JULIA ALYSON BEARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 206041) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 98719) |
Enumeration Date | 2025-05-27 |
Last Update Date | 2025-05-28 |