NPI | 1619098662 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 61146) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 61146) |
101YP2500X Counselor, Professional (Licence: TX 61146) | |
Enumeration Date | 2007-04-03 |
Last Update Date | 2025-09-11 |