NPI | 1649264078 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TX 4671) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 2585) |
101Y00000X Counselor (Licence: TX 4671) | |
Enumeration Date | 2005-08-31 |
Last Update Date | 2007-07-08 |