NPI | 1437444700 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 63487) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 201329) |
Enumeration Date | 2011-06-15 |
Last Update Date | 2014-02-07 |