NPI | 1114302775 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 202588) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 75812) |
Enumeration Date | 2015-07-24 |
Last Update Date | 2019-06-20 |