NPI | 1568637338 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 61635) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 201047) |
Enumeration Date | 2008-04-23 |
Last Update Date | 2009-03-24 |