NPI | 1497813786 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TX 1224) |
Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: TX 01859) |
106H00000X Marriage & Family Therapist (Licence: TX 003480-034597) | |
Enumeration Date | 2006-12-05 |
Last Update Date | 2010-05-13 |