NPI | 1316033756 |
---|---|
Former Name | KAREN SUZANNE HALES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 9590) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 002717041812) |
Enumeration Date | 2006-10-05 |
Last Update Date | 2022-06-09 |