NPI | 1194834390 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: LA 2935) |
Additional Taxonomies | 101YP2500X Counselor Professional (Licence: TX 77206) |
106H00000X Marriage & Family Therapist (Licence: LA 858) | |
Enumeration Date | 2006-08-30 |
Last Update Date | 2020-08-06 |