NPI | 1346266384 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 9231) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 4209) |
106H00000X Marriage & Family Therapist (Licence: TX 3608) | |
Enumeration Date | 2006-07-14 |
Last Update Date | 2007-10-29 |