NPI | 1336669688 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 202715) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 202715) |
Enumeration Date | 2017-06-27 |
Last Update Date | 2023-06-14 |