NPI | 1326052879 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 10031) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 762) |
Enumeration Date | 2006-07-28 |
Last Update Date | 2007-07-08 |