NPI | 1265016752 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 79050) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 203036) |
Enumeration Date | 2021-05-10 |
Last Update Date | 2024-06-25 |