NPI | 1407392830 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 204617) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 6182) |
106H00000X Marriage & Family Therapist (Licence: CA 132125) | |
Enumeration Date | 2017-01-09 |
Last Update Date | 2023-11-14 |