NPI | 1396026183 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 4914) |
Additional Taxonomies | 101YP2500X Counselor Professional (Licence: TX 17445) |
Enumeration Date | 2011-09-07 |
Last Update Date | 2011-09-07 |