NPI | 1235200080 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 59985) |
106H00000X Marriage & Family Therapist (Licence: TX 59985) | |
Enumeration Date | 2006-11-13 |
Last Update Date | 2024-01-11 |