NPI | 1609028596 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 61449) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 101191) |
Enumeration Date | 2008-10-22 |
Last Update Date | 2008-10-22 |