NPI | 1295097731 |
---|---|
Former Name | TEANA WALKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 201507) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 66367) |
101YM0800X Counselor, Mental Health (Licence: TX 66367) | |
Enumeration Date | 2012-06-11 |
Last Update Date | 2024-03-20 |