NPI | 1508188061 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 66399) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 202584) |
Enumeration Date | 2010-02-24 |
Last Update Date | 2024-02-15 |