NPI | 1528112216 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 09823) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 3922) |
Enumeration Date | 2007-01-22 |
Last Update Date | 2007-07-08 |