NPI | 1629124680 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 000618000612) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 11016) |
103T00000X Psychologist (Licence: TX 11016) | |
Enumeration Date | 2007-01-25 |
Last Update Date | 2025-09-11 |