NPI | 1477002186 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 201679) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 74326) |
101YP2500X Counselor, Professional (Licence: TX 74326) | |
Enumeration Date | 2016-09-23 |
Last Update Date | 2024-05-02 |