NPI | 1376607853 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: TX 5288) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 5288) |
101YP2500X Counselor, Professional (Licence: TX 5288) | |
106H00000X Marriage & Family Therapist (Licence: TX 1425) | |
Enumeration Date | 2006-12-20 |
Last Update Date | 2007-07-08 |