NPI | 1306383435 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 71697) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 71697) |
101YM0800X Counselor, Mental Health (Licence: TX 202103) | |
106H00000X Marriage & Family Therapist (Licence: TX 202103) | |
Enumeration Date | 2017-01-26 |
Last Update Date | 2022-01-06 |