NPI | 1558422030 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 2699) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 09994 Social Work) |
Enumeration Date | 2006-12-12 |
Last Update Date | 2025-09-11 |