NPI | 1134190572 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 1671) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 9081) |
106H00000X Marriage & Family Therapist (Licence: LA 257) | |
106H00000X Marriage & Family Therapist (Licence: TX 754) | |
Enumeration Date | 2006-02-01 |
Last Update Date | 2007-07-08 |