NPI | 1346350238 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX LPC 05402) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 361) |
Enumeration Date | 2006-08-30 |
Last Update Date | 2019-03-14 |