NPI | 1356566053 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX L.P.C. 9118) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX L.M.F.T. 3879) |
Enumeration Date | 2007-04-16 |
Last Update Date | 2007-07-08 |