NPI | 1184288748 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: TX 79281) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 203145) |
Enumeration Date | 2019-04-29 |
Last Update Date | 2019-04-29 |