NPI | 1477137719 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 202044) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 202044) |
Enumeration Date | 2021-05-12 |
Last Update Date | 2025-09-09 |