NPI | 1265770614 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 201775) |
Additional Taxonomies | 101Y00000X Counselor (Licence: TX 67552) |
Enumeration Date | 2013-01-18 |
Last Update Date | 2013-01-18 |