NPI | 1134712250 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 203186) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 79070) |
Enumeration Date | 2021-02-19 |
Last Update Date | 2021-02-19 |