NPI | 1639254212 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 1695) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 10137) |
Enumeration Date | 2006-10-25 |
Last Update Date | 2025-09-11 |