NPI | 1194988444 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: TX LPC #8270) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX LMFT #047960) |
Enumeration Date | 2008-07-08 |
Last Update Date | 2008-07-08 |