NPI | 1386223824 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 203286) |
Additional Taxonomies | 101YP2500X Counselor Professional (Licence: TX 79432) |
Enumeration Date | 2021-04-02 |
Last Update Date | 2024-09-26 |