NPI | 1508999327 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 2489) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: TX 23665) |
Enumeration Date | 2007-03-13 |
Last Update Date | 2025-09-11 |