NPI | 1356352488 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 5734) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 369) |
Enumeration Date | 2006-08-11 |
Last Update Date | 2008-06-06 |