NPI | 1497078455 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 64578) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 201294) |
Enumeration Date | 2010-03-04 |
Last Update Date | 2010-03-04 |