NPI | 1639422769 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 202724) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMT1356) |
Enumeration Date | 2012-10-26 |
Last Update Date | 2021-03-10 |