NPI | 1194333633 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 203660) |
Additional Taxonomies | 101YP2500X Counselor Professional (Licence: TX 83580) |
Enumeration Date | 2020-07-21 |
Last Update Date | 2020-07-21 |