NPI | 1629118914 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 2274) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 683) |
Enumeration Date | 2007-02-07 |
Last Update Date | 2007-07-09 |