NPI | 1497210181 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 202762) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 74462) |
Enumeration Date | 2019-02-06 |
Last Update Date | 2023-12-19 |