NPI | 1447841283 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: UT 12086440-3904) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: UT 12086440-3904) |
Enumeration Date | 2021-02-02 |
Last Update Date | 2021-02-02 |