NPI | 1386777951 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: UT 8013513-3904) |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2007-03-13 |
Last Update Date | 2022-07-08 |