NPI | 1326461252 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IN 35001371A) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 13975) |
106H00000X Marriage & Family Therapist (Licence: TX 4692) | |
Enumeration Date | 2014-01-29 |
Last Update Date | 2017-04-12 |