NPI | 1396110300 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 203386) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 108960) |
Enumeration Date | 2015-12-02 |
Last Update Date | 2024-02-22 |