NPI | 1518373562 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 69395) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 201888) |
Enumeration Date | 2014-07-09 |
Last Update Date | 2023-12-18 |