NPI | 1316546385 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 203195) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 203195) |
Enumeration Date | 2020-10-21 |
Last Update Date | 2024-02-13 |