NPI | 1174540678 |
---|---|
Former Name | JOY CAROL PENNY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 3988) |
Additional Taxonomies | 101YP1600X Counselor, Pastoral |
Enumeration Date | 2006-07-17 |
Last Update Date | 2019-12-05 |