NPI | 1245652403 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 71814) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 202233) |
Enumeration Date | 2014-01-07 |
Last Update Date | 2021-06-24 |