NPI | 1285704221 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 14491) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 4883) |
Enumeration Date | 2006-11-08 |
Last Update Date | 2016-07-13 |