NPI | 1568498681 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 5169) |
Additional Taxonomies | 101YP2500X Counselor Professional (Licence: TX 62315) |
Enumeration Date | 2006-06-23 |
Last Update Date | 2010-10-15 |